Document Detail

The impact of nurse case management home visitation on birth outcomes in African-American women.
MedLine Citation:
PMID:  18507207     Owner:  NLM     Status:  MEDLINE    
METHODS: To examine the association between antepartum nurse case management home visitation and the occurrence of low birthweight and preterm deliveries in African-American women in Montgomery County, MD, a retrospective cohort study was conducted using existing data from 109 mothers who were enrolled in the Black Babies Start More Infants Living Equally Healthy (SMILE) program. Logistic regression analysis was used.
RESULTS: Women who received antepartum home visits were 0.37 (CI 0.15-0.94) times less likely to experience preterm delivery than women who did not receive antepartum home visits. The effect of antepartum home visits on preterm delivery was independent of level of prenatal care, negative life events and number of prior live births. There was no significant association between antepartum home visits and low birthweight.
CONCLUSION: Antepartum home visits appeared to be protective against preterm delivery and could contribute to reducing racial disparities in infant mortality. Further study is needed to understand and replicate specific program components that may contribute to improved birth outcomes in African-American women.
Natalie Wells; Tracy Sbrocco; Chiao-Wen Hsiao; Lauren D Hill; Nicole A Vaughn; Brenda Lockley
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of the National Medical Association     Volume:  100     ISSN:  0027-9684     ISO Abbreviation:  J Natl Med Assoc     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-29     Completed Date:  2008-07-07     Revised Date:  2014-01-10    
Medline Journal Info:
Nlm Unique ID:  7503090     Medline TA:  J Natl Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  547-52     Citation Subset:  IM    
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MeSH Terms
African Americans*
Case Management*
House Calls*
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature*
Logistic Models
Nursing Care / methods*
Perinatal Care / utilization*
Pregnancy Outcome*
Program Development
Program Evaluation
Retrospective Studies
Risk Factors
Grant Support
P20 MD000505/MD/NIMHD NIH HHS; P20 MD000505/MD/NIMHD NIH HHS; P20 MD000505-06/MD/NIMHD NIH HHS; P20 MD000505-07/MD/NIMHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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